The rest of the world is either taking a wait-and-see approach or moving forward slowly, if at all. Vendors and payors seem to be making progress also, although there are still significant variations among them. Ironically, these findings are very similar to what the industry reported two years ago, and again last year. So why haven’t the ICD-10 delays resulted in everyone being “ready?” Why do some continue to procrastinate? Why does the readiness divide between those leading the race and those lagging far behind remain?